Individual provider Active NPI

Roberta Hirshon, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1154873784
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091495 Issued in MI
Practice address
1015 Olivia Ave
Ann Arbor, MI 48104-3928
Phone
(207) 233-1051
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091495 MI Primary
Clinical Social Worker 1041C0700X LC3500 ME

Addresses

Primary practice location

1015 Olivia Ave
Ann Arbor, MI 48104-3928

Mailing address

1015 Olivia Ave
Ann Arbor, MI 48104-3928
Phone (207) 233-1051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060428000540 ME Practitioner - Clinical Social Worker 2264442631 Practice locations: South Portland, ME
I20190211002380 MI Practitioner - Clinical Social Worker 2264442631 Reassigns benefits to 1 organization
Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

52 Cloyster Rd
South Portland, ME 04106-5110
Phone (207) 233-1051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6801091495MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services of Washtenaw County, Inc. Clinical CurrentSince Jan 29, 2019 Accepting new patients
Cornerstone Behavioral Healthcare, LLC Past Accepting new patients
RLH Inc Clinical Past Accepting new patients

Locations

2245 S State St
Ste 200
Ann Arbor, MI 48104
Phone (734) 769-0209

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1154873784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 OLIVIA AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043928",
            "telephone_number": "207-233-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 OLIVIA AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043928",
            "telephone_number": "207-233-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSHON",
        "first_name": "ROBERTA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091495",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC3500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.